10AK QLEAVE S204184 copy

 Notification and Payment Confirmation
This form is issued in accordance with the Building and Construction Industry (Portable Long Service Leave) Act 1991 s77(2). Form BCI
14v0.


BUILDING AND CONSTRUCTION WORK DETAILS
QLeave levy number: S204184                                            Date notified: 02 Oct 2019

Building and construction work description: DWELLING - LOWSET & HIGHSET

Lot no.: 787                                                           Plan no.: 48111

Building and construction work address: 10 ARAKOON CRESCENT

Suburb: SUNSHINE BEACH                                                 Postcode: 4567

Total cost of work (GST exclusive): $2,097,877.00

Total levy paid: $9,965.00

Exempted cost of work (GST exclusive): $0.00

Start date: 02 Oct 2019                                                Finish date: 31 Aug 2020

Council: NOOSA SHIRE COUNCIL

Certifier: PURE BUILDING APPROVALS

Owner: VIRGINIA SCOTT

Principal contractor: MENZIE DESIGNER HOMES PTY LTD


QLeave has issued this form to confirm that notification and payment has been received.
Under s.77 of the Building and Construction Industry (Portable Long Service Leave) Act
1991, all obligations have been met.
Your Assessment Manager (Local Government or Private Certifier - Class A) will require a copy of this form prior to the issue of a
development/building permit.


CONTACT QLEAVE
Unit 1 62 Crockford St, Northgate Q 4013 | PO Box 315, Virginia BC Q 4014
Freecall 1800 803 481 | Email [email protected] | Web www.qleave.qld.gov.au


BUILDING AND CONSTRUCTION WORK COMPLETED
When your building and construction work reaches practical completion, you will be required to submit your final costs and completion date
to QLeave. To provide QLeave with these details please complete the building and construction work completed form available at
www.qleave.qld.gov.au and send it to [email protected]


PAID
Receipt number                     Date paid                           Amount paid

97396918378                         02 Oct 2019 9:02:11 AM             $9,965.00




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